Healthcare Provider Details

I. General information

NPI: 1316943939
Provider Name (Legal Business Name): NEAL L. ROCKOWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 11/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 N 32ND ST
PHOENIX AZ
85018-4901
US

IV. Provider business mailing address

3815 N 32ND ST
PHOENIX AZ
85018-4901
US

V. Phone/Fax

Practice location:
  • Phone: 602-957-1233
  • Fax: 602-957-0508
Mailing address:
  • Phone: 602-957-1233
  • Fax: 602-957-0508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number19117
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: